Cryosurgery Causes Profound and Persistent Ischemia

Author(s):  
Sepideh Khoshnevis ◽  
Kenneth R. Diller

Cryotherapy has been used in the treatment of soft tissue trauma and other ailments since the time of Hippocrates. Currently it is commonly applied in conjunction with surgical procedures and by athletic trainers and physical therapists to control pain, swelling, bleeding, and inflammation. Localized cooling also results in slowing of the nerve conduction velocity and reduced muscle spasm and secondary hypoxic injury1,2. Cooling is commonly used for soft tissue injuries in combination with rest, compression and elevation to minimize inflammation.

Foot & Ankle ◽  
1982 ◽  
Vol 3 (2) ◽  
pp. 93-98 ◽  
Author(s):  
G. James Sammarco ◽  
Edward H. Miller

Conditions in the dancer's forefoot can be divided into five categories. Part II of our study presents two categories: acute conditions of the forefoot and conditions which masquerade as forefoot problems. Five hundred dancers were studied. Of those, some had conditions including muscle spasm, soft tissue trauma, fractures, dislocations, and abscesses, and were treated accordingly. The general health of the dancer was an important factor in treatment as well as difficulty in diagnosing the injury. Prolonged periods of healing were expected but did not prevent the return to dance class and rehearsal. The highly motivated, goal-oriented dancer often did not complain of systemic disease or pain and this prevented diagnosis until triggering tendons or muscle paralysis made it obvious. Such a sequence gave rise to prolonged convalescence or termination of the dancer's career.


2021 ◽  
Vol 39 ◽  
Author(s):  
Emily Hampp ◽  
◽  
Laura Scholl ◽  
Ahmad Faizan ◽  
Nipun Sodhi ◽  
...  

Partial knee arthroplasty (PKA) is performed to treat end-stage osteoarthritis in a single compartment. There are minimal data characterizing soft-tissue injuries for PKA with robotic and manual techniques. This cadaver study compared the extent of soft-tissue trauma sustained through robotic-arm assisted PKA (RPKA) and manual PKA (MPKA). Five surgeons prepared 24 cadaveric knees for medial PKA, including six MPKA controls and 18 RPKA assigned into three different workflows: RPKA-LB (six knees) – RPKA with legacy burr; RPKA-NB (six knees) – RPKA with new burr design; and RPKA-NBS (six knees) – RPKA with new burr design and oscillating saw. Two surgeons estimated trauma to the patellar tendon, quadriceps tendon, anterior cruciate ligament (ACL), medial collateral ligament (MCL), medial capsule, posterior capsule, and posterior cruciate ligament (PCLs) using a five-grade system: Grade 1 – complete soft tissue preservation; Grade 2 – ≤25%; Grade 3 – 26 to 50%; Grade 4 – 51 to 75%; and Grade 5 – ≥76% trauma. A total trauma grade was assigned by summing the grades. Kruskal-Wallis statistical tests were used to assess outcomes. When compared to the MPKA group, all RPKA subgroups had lower total trauma grading (p<0.01), lower posterior capsular damage (p<0.01), and less severe ACL damage (p<0.01). The analysis demonstrated no significant difference between the three RPKA workflows. As this study was performed using cadaveric specimens, additional investigations are necessary to determine associations between robotic or manual-assisted technique, observed soft tissue damage, and postoperative clinical outcomes following PKA.


Author(s):  
Krystyne Basa ◽  
Waleed H. Ezzat

AbstractThe nose is one of the most common sites of facial injury due to its prominence and anatomical placement. Given its intricate anatomy, function, and high visibility, it also proves to be one of the most complex regions for repair. We provide a review of the management of soft tissue injuries to the nose, including the various reconstructive tools available and adjunctive wound care measures. We also discuss special considerations based on mechanism of injury and treatment of this condition in the pediatric population. The main goals of reconstruction should be to preserve function while achieving optimal cosmetic results in this highly visible region of the face.


1994 ◽  
Vol 07 (04) ◽  
pp. 180-182
Author(s):  
N. Gofton ◽  
Joanne Cockshutt

The AO wire passer can be used as an effective guide for passage of obstetrical saw wire for osteotomy. Use of the wire saw and passer reduces soft tissue trauma by minimizing tissue dissection, and promoting positioning of the saw in close contact with the bone.


1992 ◽  
Vol 8 (04) ◽  
pp. 233-241 ◽  
Author(s):  
Fred Stucker ◽  
Denis Hoasjoe

2000 ◽  
Vol 48 (3) ◽  
pp. 479-483 ◽  
Author(s):  
Patricia S. Landry ◽  
Andrew A. Marino ◽  
Kalia K. Sadasivan ◽  
James A. Albright

1978 ◽  
Vol 10 (6) ◽  
pp. 404-414 ◽  
Author(s):  
M. Silberschmid ◽  
C. Lund ◽  
K. Szczepanski ◽  
S. Lyager

1974 ◽  
Vol 6 (4) ◽  
pp. 233-246 ◽  
Author(s):  
J. Sandeg&aring;rd ◽  
J. Nolte ◽  
D.H. Lewis ◽  
T. Seeman

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